Registrar PRN

Job Description

Job Description

Registrar

POSITION SUMMARY

• Timely and accurate compilation of patient socio-demographic and insurance data at the time of service. Arranges for the efficient and orderly admission of pediatric, adolescent, adult and geriatric patients to all entry points of admission. Makes patients and families aware of hospital policies and procedures. Effectively, yet professionally, request and collect patient estimated balances, including co-payments and deductibles. Will ensure managed care requirements and pre- certification / authorization needs are met prior to patient admission. Assist with flow of data between physicians, their offices, nursing units, ancillary areas, business office services, insurance companies and patient’s while insuring patient confidentiality is not breached. The duties of this position require the exercise of courtesy and patience in speaking with patients, families, co-workers, employers, state agencies and others to maintain sound public relations. Must comply with Confidentiality guidelines in accordance to CRMC policies and procedures. Must maintain regular consistent attendance, personal appearance, punctuality and adherence to applicable health and safety guidelines.

QUALIFICATIONS

A. Knowledge, Skills and Abilities

B. Education

C. Licensure

D. Experience

E. Interpersonal skills

F. Essential technical / motor skills

G. Essential physical requirements

H. Essential mental requirements

I. Essential sensory requirements

J. Other

K. Equipment used

OTHER QUALIFICATIONS

A. Exposure to hazards (body fluid exposure level)

B. Age of Patient Populations Served

JOB SPECIFIC DUTIES AND PERFORMANCE STANDARDS

o Use scripting policies as an effective communication tool with customers. Greet patients in accordance with the department's script policy and procedure.

o Responsible and accountable for tasks necessary to properly identify and register into the patient processing system all patients presenting for admission.

o Ability to complete scheduling, registration, precertification, financial counseling, medical necessity checks effectively all patient types in the HIS system.

o Distribute necessary paperwork and forms to each patient registered including information on Advanced Directives, Patient Rights and Responsibilities, and Important Message from Medicare with complete and detailed explanation.

o Must keep abreast of current regulatory requirements, including all state, federal and JCAHO regulations. Keep up to date of requirements from each insurance payor (Medicare, Medicaid, Managed Care, Commercial or private payors, Tricare, etc.). Adhere to external agency regulations. Demonstrate the ability to complete meet the requirements of each payor according to their guidelines.

o Responsible for documenting all contact with patients, family, employers and third party payors.

o Insure patient flow through the registration process is professional, patient friendly and within department established time standards.

o Facilitate patient paper flow for accurate and complete medical records, financial forms and patient admission to nursing or ancillary units. Obtain authorized signatures on all required forms (Conditions of Admission, Important Message from Medicare, etc…).

o Ensure all physician orders meet current standards and policies. Obtain clarification on unclear or inappropriate orders. Determine proper patient processing according to physician orders. Appropriately enters the physician into the HIS system.

o Accurately transfer, and / or discharge, place orders, etc... for patients according to doctor's orders, and according to established policies and procedures.

o Demonstrates ability to complete status changes, upgrades, system change request according to policy and procedure.

o Protect the financial standing of the hospital by appropriately determining financial responsibility. Contributes to department goals by making 100% of financial arrangements for each patient prior to services being performed.

o Review patient account history to establish acceptable payment arrangements, charity assistance or agency referral notifications. Refers accounts with bad debt history to the Patient Financial Services office or accounting representatives.

o Collects account deposits on patient estimated balances, co-pays, co-insurance and unpaid deductibles. Meet collection goals as outlined by departmental policy and procedure.

o Initiates medically needy application for charity, catastrophic and indigent write-offs. Refers potential Medicaid patients to Medicaid Benefit Specialist for screening process.

o Review all responsible party demographics for useful collection purposes from all available sources (EX.-in-house computer systems, credit reports, outside sources).

o Completes all necessary forms (write off sheets, promissory notes, receipts, credit card reports, ABNs, etc…). Forwards to necessary departments. Initiates medical necessity check. Documents encounters in the HIS system.

o Makes deposits of money collected and receipts daily in department safe according to policy and procedure.

o Is able to explain all aspects of the billing account and procedure to a patient / guarantor.

o Maintains acceptable accuracy rate according to departmental guidelines.

o Meets with Education Coordinator weekly to discuss errors. Seeks ways to improve accuracy.

o Verify complete patient, guarantor and relative information. Makes every attempt to ensure proper patient identification using all possible means including, but not restricted to patient and guarantor social security number legal name, date of birth and address. Must adhere to Patient ID policy for identifying and updating patient information.

o Identify third party payor coverage, secures prior authorizations, referrals, notifications and precertification requirements prior to patient admission. Ensures fax notifications are complete.

o Maintains working knowledge of major third-party payer regulations and compliance issues.

o Distribute appropriate information to patients according to pay source, including to, but not restricted to Medicare, Medicaid, and Champus.

o Obtain incorrect or missing information in the insurance processor. Corrects accounts appropriately according to guidelines.

o Able to obtain and verify insurance benefits and eligibility. Methods available include patient / guarantor, insurance card or electronic means.

o Follow proper chain of command for issues, complaints, etc.

o Demonstrates ability to respond appropriately to department and facility codes.

o Assist in orientation and training of new staff members. Able to help evaluate new staff member for readiness to fulfill job duties independently.

o Obtain room assignment from admissions nurse, patient care director or nursing unit according to doctor's orders.

o Escort patients to ancillary service department after the registration process is completed. Assure that each patient admitted to a bed is escorted to ancillary services and to the nursing unit in a wheelchair.

o Able to perform switchboard duties according to department policies and procedures.

o Complies with Time and Attendance according to policy and procedure. Attends to personal affairs to avoid conflicts with work. Schedules days off prior to posting of new schedule.

o Refill supplies in copier, printer, and fax machines at end of each shift.

o Perform any other task requested from Supervisor or Management in a willing and positive manner.